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Clinical Policy Ops Specialist II
Job in
Madison, Dane County, Wisconsin, 53774, USA
Listed on 2026-07-13
Listing for:
Humana Inc
Full Time
position Listed on 2026-07-13
Job specializations:
-
Business
Regulatory Compliance Specialist
Job Description & How to Apply Below
Humana Inc in Madison, WI seeks a Clinical Policy Operations Professional 2 to translate approved clinical strategies into operational policies, drug lists and benefit requirements. You will work with clinical pharmacists and business partners to implement and maintain policy systems with accuracy.
The role emphasizes reviewing Medicare and state Medicaid rules, collaborating across departments, and delivering quality analyses and reports to support compliant, efficient utilization management.
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